For Eyes Optical of PA
NPI #1053469601 in Calumet City, Illinois
Provider Information
- NPI Number
- 1053469601
- Entity Type
- Organization
- Organization Name
- For Eyes Optical of PA
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jan 8, 2007
- Last Updated
- May 7, 2018
Practice Location
- Address
- 1530 TORRENCE AVE
- City
- Calumet City
- State
- Illinois
- ZIP Code
- 60409-5409
- Phone
- (708) 868-5807
Authorized Official
- Name
- MR. JOSE COSTA
- Title
- CEO
- Phone
- (305) 557-9004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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